Multiple cavernous angiomas of the cauda equina. Case report
Shigeru Miyake1, Yoshito Uchihashi, Yoshiaki Takaishi
1Department of Neurosurgery, Kobe University Graduate School of Medicine, Japan. miyake@ck9.so-net.ne.jp
Neurologia Medico-Chirurgica
|April 26, 2007
Summary
Multiple spinal cavernous angiomas in an 18-year-old male caused severe back pain. Surgical removal of the main tumor was successful, but residual lesions require monitoring.
Area of Science:
- Neurology
- Neurosurgery
- Vascular Malformations
Background:
- Spinal cavernous angiomas are rare vascular malformations.
- Cauda equina involvement can lead to significant neurological deficits.
Observation:
- An 18-year-old male presented with acute low back pain and bilateral leg radiation.
- MRI revealed a large intradural mass at L-1, compressing the cauda equina.
- Surgical exploration identified a mulberry-like tumor displacing neural elements.
Findings:
- Total resection of a 20 mm intradural cauda equina cavernous angioma was achieved.
- Four additional small cavernous angiomas adhering to nerve roots were identified but not resected.
- Histological confirmation of cavernous angioma was obtained.
Implications:
- Complete resection is feasible for symptomatic primary spinal cavernous angiomas.
- Management of multiple, residual lesions requires careful follow-up.
- This case highlights the importance of considering vascular malformations in young patients with spinal symptoms.
